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Arizona rates for HCPCS Q4121

TheraSkin, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.50 / $107.08 / $3,252.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $53.81 / $58.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $98.68 / $244.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.42 / $52.21 / $123.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $52.75 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.62 / $56.96 / $103.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $48.85 / $106.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75